CPAN COMPREHENSIVE TEST SCRIPT
2026 QUESTIONS WITH SOLUTIONS 100%
CORRECT.
✔ CPR quality. Answer: - push hard (at least 2 inches) and fast (at least
100)
- allow full chest recoil
- minimize interruptions
- avoid excessive ventilation
- if no advanced airway 30:2
✔ shock energy for defibrillation. Answer: give 1 shock: biphasic 120-
200J
second and subsequent shocks should be equivalent
✔ ACLS epinephrine dose. Answer: 1mg every 3-5 minutes
✔ ACLS amiodarone dose. Answer: first dose: 300mg bolus
second dose: 150mg
,✔ ACLS lidocaine dose. Answer: first dose: 1-1.5mg/kg
second dose: 0.5-0.75mg/kg
✔ reversible causes (H's). Answer: hypovolemia
hypoxia
hydrogen ion (acidosis)
hyperkalemia
hypothemia
✔ reversible causes (T's). Answer: tension pneumothorax
tamponade cardiac
toxins
thrombosis pulmonary
thrombosis coronary
✔ respiration rate for continuous CPR in infant/child with advanced
airway. Answer: 1 breath every 2-3 seconds (20-30/minute)
✔ lipid emulsion therapy rescue for LAST. Answer: initial bolus of 20%
lipid emulsion: dose 1.5mL/kg rapidly over 1 minute, followed by
continuous infusion at 0.25mL/kg/min
- continue lipid emulsion infusion for at least 10 minutes after patient is
stabilized
,✔ what medications should be avoided for patients with LAST. Answer:
vasopressin
calcium channel blockers
beta blockers
propofol
high doses of epi
addition local anesthetic
✔ how does local anesthetic absorption work. Answer: to slow or
prevent cell membrane depolarization which leads to the complete loss
of information across the length of the neuron resulting in patient
percieved "numbness"
- the higher the fat solubility, the faster the absorption
✔ S&S of malignant hyperthermia. Answer: muscle rigidity
hypercapnia
rhabdomyolysis
hypeerthermia
tachycardia
tachypnea
metabolic acidosis
respiratory acidosis
, hyperkalemia
myobloinuria
increased creatinine
dysrhymthias
cyanosis
rigidity
sweating
✔ 2nd degree AV block type 2 (mobitz). Answer: some P waves are not
conducted to the ventricule and therefore not followed by the QRS
complex
✔ 2nd degree AV block type 2 (mobitz) treatment. Answer: avoid
atropine
transcutaneous or temporary transvenous pacing if placed
perioperatively
permanent pacer required to support heart rhythm
✔ 3rd degree AV block. Answer: total loss of electrical conduction
between atria and ventricles
✔ 3rd degree AV block treatment. Answer: transcutaneous pacing
insertion of permanent pacer required
2026 QUESTIONS WITH SOLUTIONS 100%
CORRECT.
✔ CPR quality. Answer: - push hard (at least 2 inches) and fast (at least
100)
- allow full chest recoil
- minimize interruptions
- avoid excessive ventilation
- if no advanced airway 30:2
✔ shock energy for defibrillation. Answer: give 1 shock: biphasic 120-
200J
second and subsequent shocks should be equivalent
✔ ACLS epinephrine dose. Answer: 1mg every 3-5 minutes
✔ ACLS amiodarone dose. Answer: first dose: 300mg bolus
second dose: 150mg
,✔ ACLS lidocaine dose. Answer: first dose: 1-1.5mg/kg
second dose: 0.5-0.75mg/kg
✔ reversible causes (H's). Answer: hypovolemia
hypoxia
hydrogen ion (acidosis)
hyperkalemia
hypothemia
✔ reversible causes (T's). Answer: tension pneumothorax
tamponade cardiac
toxins
thrombosis pulmonary
thrombosis coronary
✔ respiration rate for continuous CPR in infant/child with advanced
airway. Answer: 1 breath every 2-3 seconds (20-30/minute)
✔ lipid emulsion therapy rescue for LAST. Answer: initial bolus of 20%
lipid emulsion: dose 1.5mL/kg rapidly over 1 minute, followed by
continuous infusion at 0.25mL/kg/min
- continue lipid emulsion infusion for at least 10 minutes after patient is
stabilized
,✔ what medications should be avoided for patients with LAST. Answer:
vasopressin
calcium channel blockers
beta blockers
propofol
high doses of epi
addition local anesthetic
✔ how does local anesthetic absorption work. Answer: to slow or
prevent cell membrane depolarization which leads to the complete loss
of information across the length of the neuron resulting in patient
percieved "numbness"
- the higher the fat solubility, the faster the absorption
✔ S&S of malignant hyperthermia. Answer: muscle rigidity
hypercapnia
rhabdomyolysis
hypeerthermia
tachycardia
tachypnea
metabolic acidosis
respiratory acidosis
, hyperkalemia
myobloinuria
increased creatinine
dysrhymthias
cyanosis
rigidity
sweating
✔ 2nd degree AV block type 2 (mobitz). Answer: some P waves are not
conducted to the ventricule and therefore not followed by the QRS
complex
✔ 2nd degree AV block type 2 (mobitz) treatment. Answer: avoid
atropine
transcutaneous or temporary transvenous pacing if placed
perioperatively
permanent pacer required to support heart rhythm
✔ 3rd degree AV block. Answer: total loss of electrical conduction
between atria and ventricles
✔ 3rd degree AV block treatment. Answer: transcutaneous pacing
insertion of permanent pacer required
